| 黄礼群,王晓红,张善纲,徐丹,程慈,兰雪峰,童春梅,朱文涛.冲击波与超声波疗法治疗创伤后膝关节功能障碍的疗效比较[J].中国康复,2019,34(10):525-528 |
| 冲击波与超声波疗法治疗创伤后膝关节功能障碍的疗效比较 |
| Efficacy of extracorporeal shock wave therapy vs. ultrasound treatments for post-traumatic knee dysfunction |
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| DOI： |
| 中文关键词: 创伤后膝关节功能障碍 冲击波治疗 超声波治疗 |
| 英文关键词: Post-traumatic knee dysfunction Extracorporeal shock wave therapy Ultrasound therapy |
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| 中文摘要: |
| 目的：比较冲击波和超声波治疗创伤后膝关节功能障碍的疗效。方法：60例单侧创伤后膝关节功能障碍患者被随机分成2组，冲击波组和超声波组各30例。2组均给予综合康复治疗（关节松动术、肌力训练和冷疗）。冲击波组增加冲击波治疗，每周2次，共8次。超声波组增加超声波治疗，每天1次，每周5天，共20次。在治疗前、治疗4周后评估患者的疼痛视觉模拟（VAS）评分、膝关节被动关节活动度（ROM）和膝关节功能（HSS）评分。结果：治疗4周后，2组患者VAS评分均较治疗前明显下降（均P＜0.01），膝关节ROM和HSS评分均较治疗前明显增加（均P＜0.05）；治疗后2组间比较，冲击波组的VAS评分比超声波组明显降低（P＜0.01），膝关节ROM和HSS评分均较超声波组有明显增加（均P＜0.01）。结论：对于创伤后膝关节功能障碍的患者，冲击波治疗可以比超声波治疗更好地缓解关节疼痛，有效增加膝关节关节活动度和改善膝关节功能。 |
| 英文摘要: |
| Objective: To compare the efficacy of extracorporeal shock wave therapy (ESWT) vs. ultrasound (US) in the treatment of post-traumatic knee dysfunction. Methods: A total of 60 patients with post-traumatic unilateral knee dysfunction were randomly assigned to 2 groups: ESWT group and US group. All patients were given a rehabilitation method including joint mobilization, strength training and cold therapy. ESWT group received ESWT for 8 sessions twice per week. US group received US for 20 sessions. The patients were evaluated before and 4 weeks after treatment. Measurements were made using visual analogue scale (VAS), passive range of motion (ROM) and hospital for special surgery knee score (HSS). Results：Both groups showed significant improvements in terms of VAS (P<0.01), passive ROM (P<0.01) and HSS (P<0.01) after treatment. The VAS scores in the ESWT group were reduced significantly as compared with those in the US group (P<0.01). The ROM and HSS scores in the ESWT group increased significantly as compared with those in the US group (P<0.01). Conclusion: It is suggested ESWT is significantly more effective than US in the treatment of post-traumatic knee dysfunction. |
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